| NPI | 1992366470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KURT DAHMER President 352-428-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-11-19 |